External Environment, Enabling Factors and Predisposing Characteristics of Fully Immunised Children in Nepal





children, immunization, mothers, Nepal, Vaccine preventable disease


Introduction: Immunisation is a cost-effective public health intervention worldwide responsible for the reduction of infant and child morbidity and mortality. Full immunisation is a state of obtaining all vaccination according to the Immunisation schedule of Nepal.

Methods: The secondary data of Nepal was downloaded from the DHS Program. A total of 1709 children aged 16-23 months were analysed for descriptive statistics. All the analyses were weighted by its sampling weight. The full immunisation status indicates those who completed 1 dose of BCG, 3 doses of Polio, 3 doses of DPT and 1 dose of Measles. The independent variables are further subdivided into enabling, predisposing and external environmental factors.

Results: Over half of children (52.6%) were from Terai, nearly a quarter (23.0%) from province 2. More males (53.5%) and the majority of (86.1%) children with birth order one to three were immunised. Mother aged < 20 years (62%), working father (96.1%), working mother (59.7%), educated father (87.3%) and educated mother (70.7%) had children with complete immunisation. Non-smoker mother (94.6%) had fully immunised children. Nearly three quarters (73.5%) from a middle and rich family, those with PNC within 3 days (35.9%), delivered at a health facility (64.2%), and had PNC check from the skilled provider (12.1%) had completely immunised their children.

Conclusions: Significant differences based on external environment, enabling factors and predisposing factors for full immunisation status was observed. Specific interventions based on these factors are recommended.


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Author Biographies

Kanchan Thapa, Tribhuvan University, Kirtipur, Kathmandu, Nepal

Central Department of Population Studies, TU and Safa Sunaulo Nepal, Anamnagar, Kathmandu, Nepal

Bhim Raj Suwal, Tribhuvan University, Kirtipur, Kathmandu, Nepal

Associated Prof. Central Department of Population Studies

Pratik Adhikary, Institute for Social and Environmental Research Nepal, Bharatpur, Chitwan, Nepal

and School of Public Health, UC Berkeley, USA




How to Cite

Thapa, K., Suwal, B. R., & Adhikary, P. (2019). External Environment, Enabling Factors and Predisposing Characteristics of Fully Immunised Children in Nepal. Journal of Nepal Paediatric Society, 39(2), 79–86. https://doi.org/10.3126/jnps.v39i2.26287



Original Articles